Clinical Practice Guidelines. Population Health programs shall utilize evidence-based clinical practice guidelines that have been formally adopted and updated as described in current NCQA standards. A list of clinical practice guidelines for conditions referenced in Section 2.8.2.1.2.1 of this Agreement, as well as Maternity, Obesity, and Preventive Services must be submitted for review by TENNCARE on an annual basis. For conditions other than those referenced in this citation policies and procedures established addressing how the health plan assures that information provided to member is based on current best practices.
Appears in 2 contracts
Sources: Contractor Risk Agreement, Agreement for the Administration of Tenncare Select